Technical Safeguards Are Architecture
Encryption, access controls, audit logging, and integrity checks aren't toggles — they're architecture decisions that propagate through every service and data flow.
HIPAA-Compliant Cloud Infrastructure. Day One.
A BAA alone doesn't make your infrastructure HIPAA-compliant — your configuration does. We build the encryption, network segmentation, audit trails, and access controls your compliance team requires.
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What HIPAA Infrastructure Actually Requires
Most teams treat HIPAA as a pre-launch checklist. It's not — it's an engineering discipline that shapes every infrastructure decision from line one of Terraform. Retrofitting it is one of the most expensive mistakes in healthcare software.
The BAA Is Only the Beginning
A BAA with AWS or Azure covers their layer only. Your configuration, services, and data flows remain your liability — not theirs.
Audit Trails Are a Clinical Requirement
Every PHI access must be logged, retained, and reviewable at the infrastructure level — who, when, from where, and what they did. Built in from day one.
Where HIPAA Infrastructure Fails in Practice
The most common infrastructure failures in healthcare products are not complex. They are predictable gaps that appear when compliance is treated as a final step rather than an architectural foundation.
The BAA Gets Signed, the Configuration Does Not Change
Teams sign a Business Associate Agreement with their cloud provider and assume they are covered. The BAA covers the provider's layer. Your S3 bucket permissions, your database encryption settings, your network security groups — those are your configuration and your liability. The BAA does nothing to those.
Audit Logging Is Added After the Architecture Is Set
PHI access logging retrofitted into an existing architecture is incomplete by design. The data flows that were built before logging existed are the ones most likely to carry PHI without leaving a trace. Audit trails built in from the beginning cover every path — not just the ones the engineering team remembered to log.
Network Segmentation Is Left to Defaults
Default VPC configurations in every major cloud provider are not HIPAA-appropriate for healthcare workloads. PHI services need network isolation, private subnets, controlled egress, and traffic inspection between tiers. Leaving segmentation to defaults means a single compromised service can reach PHI it has no business touching.
Access Controls Are Set Too Broadly at Launch
The minimum necessary standard requires that access to PHI be limited to what a specific user role actually needs. Overly broad IAM roles and permissions granted for development convenience become production security exposure. Access controls designed at architecture time are narrower and easier to audit than ones tightened after a security review.
How We Build It
HIPAA compliance is built into architecture decisions from day one — not added on top. Hover or tap a phase to see what it involves.
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Threat Modelling and PHI Mapping
Threat Modelling and PHI Mapping
Before provisioning, we map every PHI data flow — where it originates, is stored, processed, and transmitted. This map drives every architecture decision and anchors the risk analysis.
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Network Architecture and Segmentation
Network Architecture and Segmentation
PHI workloads live in private subnets, isolated from public-facing services via security groups and network ACLs. VPC endpoints keep PHI off the public internet. Egress is controlled and monitored.
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Encryption and Access Controls
Encryption and Access Controls
AES-256 at rest, TLS 1.2+ in transit, KMS-managed keys with rotation. IAM roles scoped to minimum necessary access — no broad permissions granted for convenience.
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Audit Trails and Monitoring
Audit Trails and Monitoring
CloudTrail, VPC Flow Logs, and app-level audit logging capture every PHI access event. Retention meets HIPAA's six-year requirement. Anomaly alerts surface unusual access before it becomes an incident.
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Incident Response and Breach Notification
Incident Response and Breach Notification
HIPAA requires breach notification within 72 hours. We build detection, escalation, and notification workflows into the infrastructure — runbooks, alert thresholds, contact trees — so the response is documented, not improvised.
What We Have Deployed. What Held.
Each result is a real infrastructure deployment for a healthcare product operating under real compliance requirements.
Talk to Us About Your InfrastructureZero
PHI breaches across all healthcare infrastructure we have built and managed — across telehealth, payer, hospital, and digital health startup deployments.
72 hrs
Breach notification readiness achieved on every deployment — detection, escalation, and notification workflows built in before go-live, not after the first incident.
3×
Faster compliance audit completion for a regional health insurer — infrastructure-level audit trails replaced manual log review with automated, reviewable PHI access records.
Day 1
HIPAA-ready on first deployment for a digital health startup — full encryption, network segmentation, audit logging, and BAA-covered services live before the first patient record touched the system.
Who This Is For
HIPAA-ready infrastructure is required for any product that stores, processes, or transmits protected health information — regardless of size, stage, or cloud provider.
Digital Health Startups Going Live
Healthcare Companies Moving to the Cloud
Teams That Failed a Security Review
Product Teams Adding a Healthcare Module
The Infrastructure Decision You Make Today Is the Breach You Avoid Tomorrow
HIPAA infrastructure built right is invisible. You never think about it. HIPAA infrastructure built wrong is the incident report you file at 2am. Thirty minutes. No pitch.
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Frequently Asked Questions
[ 1 ]
Does signing a BAA with AWS or Azure make us HIPAA-compliant?
No. A Business Associate Agreement covers the cloud provider's liability for their layer of the infrastructure. Your configuration — S3 bucket permissions, database encryption, network security groups, IAM roles, audit logging — is your responsibility. The BAA does nothing to those settings. Compliance comes from correct configuration, not from signing the agreement.
[ 2 ]
What does HIPAA actually require at the infrastructure level?
The HIPAA Security Rule requires three categories of safeguards: technical (encryption, access controls, audit controls, integrity), physical (data center controls, workstation security), and administrative (risk analysis, workforce training, incident response). At the infrastructure level, the technical safeguards are the most architecture-intensive — encryption at rest and in transit, unique user identification, automatic logoff, audit logs, and integrity verification for PHI.
[ 3 ]
Can you audit our existing infrastructure for HIPAA gaps?
Yes. We conduct infrastructure security reviews that map your current configuration against HIPAA technical safeguard requirements, identify gaps, prioritise remediation by risk level, and produce a findings report your compliance team can work from. Remediation can follow as a separate engagement or as part of the same one.
[ 4 ]
Which cloud providers do you support for HIPAA deployments?
AWS, Azure, and GCP — all three offer HIPAA BAA coverage and all three have service tiers that are BAA-eligible. The architecture patterns differ by provider. We work with whichever cloud your product is on or requires.
[ 5 ]
What happens if we have a breach? How does the infrastructure help?
Well-built HIPAA infrastructure does two things in a breach scenario: it limits the blast radius through network segmentation and access controls, and it provides the forensic record — audit logs, access trails, event timelines — you need to determine what was accessed, when, and by whom. The 72-hour breach notification requirement is manageable when you have that record. It is very difficult when you do not.
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